Training Pathway

There are four steps in the training pathway to become a specialist in Immunology:

Step 1 – Medical School

Step 2 – Intern Year

Step 3 – Basic Specialty Training in Medicine

Step 4 – Higher Specialty Training in Immunology

Higher Specialty Training

Following basic specialty training doctors may choose to continue training at higher specialist training level. Doctors must decide the specialty they wish to pursue.

The information below outlines important information about training in the specialty of Immunology.

Entry Requirements

Applicants for Higher Specialist Training (HST) in Immunology must have completed Basic Specialist Training (BST) in General Internal Medicine and obtained the MRCPI or (UK*).


Equivalent, i.e. satisfactorily completed two years in approved senior house officer / registrar posts in Ireland and obtained the MRCPI or (UK*)


Equivalent outside Ireland, i.e. satisfactorily completed two years in an approved training programme outside Ireland and obtained the MRCPI or (UK*)

Duration & Organisation of Training

The total minimum time to complete HST in Immunology (CSCST eligible) is 5 years. In exceptional circumstances, this can include a period of up to 1 year’s credit for training in Immunology undertaken at Basic Specialist (Registrar) Grade. Following an application and after consideration, the duration of training at SpR grade may be reduced to 4 years: this will require the explicit agreement of the National Specialty Director and the ICHMT Dean of Higher Medical Training.

In the SpR grade, trainees will continue to work under Consultant supervision in the Immunology service, gradually widening their knowledge and experience in each area so that by the time they have passed the FRCPath Part II they are able to work largely independently.

The exact rotational arrangements will vary according to the development of departments in the various regional centres,
the number of placements on the training scheme and the number of other trainees in the Training Programme. The training scheme should be organised in such a way as to give each trainee some
experience in most recognised areas of sub-specialisation. More formal teaching and regionally and nationally organised training courses will supplement the day-to-day supervised training. The rotas should also be arranged in such a way that

The total minimum time for completion of training in Immunology and award of a CSCST is 5 years.

1. This period of training may include one year of Basic Specialty Training at Registrar grade.

2. Satisfactory completion is consequent upon acquisition of FRCPath Part II which can only be undertaken after a minimum of 4½ years total training time in the Specialty.


During the training programme trainees are required to obtain the
the Royal College of Pathologist’s FRCPath Part 1 and 2 Part 2 examinations.

Part I of the FRCPath is a test of knowledge which can be taken after a minimum of two and a half years training.

FRCPath Part II may be taken after a minimum of four and a half years total training time, of which three and a half years must have been in the SpR grade. Both of these examinations can be taken in

How to Apply

The recruitment and selection process for Higher Specialist Training (HST) opens in November every year. The deadline to submit an application for HST is normally the last working day in November, with interviews for shortlisted candidates taking place the following February and March. As there are a limited number of places in HST, entry to each specialty is competitive.

For more information on the training programme click here

For more information on how to apply click here

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